The first choice for the diagnosis of bronchiectasis

Written by Zou Zhong Lan
Pulmonology
Updated on September 08, 2024
00:00
00:00

For the diagnosis of bronchiectasis, we can rely on the symptoms of the patients such as chronic cough, coughing up large amounts of purulent sputum, repeated hemoptysis, and history of lung infections. Physical examination of the lungs may reveal fixed and persistent localized wet crackles. For auxiliary examinations, we can combine X-ray and CT scans to find imaging changes consistent with bronchiectasis and make a diagnosis. The preferred method for a definitive diagnosis of bronchiectasis is high-resolution CT, and the diagnosis can be made based on the results of a high-resolution CT scan.

Other Voices

doctor image
home-news-image
Written by Wang Xiang Yu
Pulmonology
1min 24sec home-news-image

Is bronchiectasis dangerous?

Whether bronchiectasis is dangerous depends on the extent of the patient's bronchiectasis and whether they have other comorbidities. If the patient's bronchiectasis is relatively limited and actively treated, they can still survive for a long time. Clinically, we often see elderly people in their seventies or eighties with bronchiectasis, but their medical history can often span decades and even trace back to childhood. In such cases, bronchiectasis does not pose a significant danger to their lifespan. However, if the bronchiectasis is more extensive and has damaged lung function, it can lead to respiratory failure, pulmonary heart disease, and other dangerous conditions, possibly resulting in death. Additionally, bronchiectasis can cause severe hemoptysis. If severe hemoptysis occurs suddenly, it is generally difficult to rescue in time, severely affecting their prognosis and can cause death within a short time, within minutes.

doctor image
home-news-image
Written by Yang Feng
Pulmonology
42sec home-news-image

How to cure bronchiectasis?

Bronchiectasis is caused by chronic suppurative inflammation and fibrosis of the bronchi and the surrounding lung tissue, damaging the muscles and elastic tissues of the bronchial walls, leading to deformation and permanent dilation of the bronchi. Bronchiectasis is chronic in formation, thus once diagnosed, it is incurable. Prevention is very important. The main cause of recurrent episodes of bronchiectasis is infection, so preventing infections is crucial. It is advised to consume a high-quality protein diet, participate in appropriate physical activities, and get annual vaccinations for influenza and pneumonia to prevent infections.

doctor image
home-news-image
Written by Li Jian Wu
Pulmonology
45sec home-news-image

How to check for bronchiectasis?

How to check for bronchiectasis: generally, corresponding physical examinations and laboratory tests are used for diagnosis. Early physical examinations may not show positive signs. When the condition is severe or secondary bacterial infection occurs, fixed and persistent moist rales can be heard in the affected areas. Some patients may show signs of oxygen deficiency, such as clubbing and cyanosis. During acute infections, routine blood tests will show increased white blood cell counts and neutrophil counts. Sputum examination may reveal elastic fibers and pus cells. A chest X-ray can show thickened and disordered lung periphery, and typical lesions may appear as honeycomb-like curly shadows.

doctor image
home-news-image
Written by Wang Xiang Yu
Pulmonology
1min 3sec home-news-image

Symptoms of bronchiectasis

Bronchiectasis exhibits many symptoms, but the most common are chronic cough and sputum production. The amount of sputum in bronchiectasis can vary greatly from person to person, and to some extent, it can reflect the severity of the condition. Some patients may have significant coughing and sputum production, with sputum amounts reaching over one hundred milliliters per day. In others, the condition may be more stable, with only a few milliliters of sputum per day. Additionally, patients with bronchiectasis may experience hemoptysis, which often recurs and can manifest as blood-streaked sputum, minor bleeding, or sudden severe bleeding. Significant bleeding can be particularly dangerous, potentially leading to death within minutes. Bronchiectasis can also cause recurrent lung infections and chronic long-term infection, which may be accompanied by fever, fatigue, loss of appetite, weight loss, anemia, and other symptoms.

doctor image
home-news-image
Written by Han Shun Li
Pulmonology
53sec home-news-image

Is bronchiectasis contagious?

Bronchiectasis is relatively common clinically and is caused by destruction of the bronchial wall due to various reasons, leading to abnormal dilation of the bronchi. Common symptoms include repeated coughing, coughing up phlegm, and even hemoptysis. It can be definitively stated that bronchiectasis itself is not contagious. Contact with a person with bronchiectasis will not result in contracting bronchiectasis. However, in some cases, care should be taken when coming into contact with bronchiectasis patients. For example, some cases of bronchiectasis are caused by pulmonary tuberculosis, known as tuberculous bronchiectasis. Since pulmonary tuberculosis is contagious, in this scenario, there is contagion. However, it is the tuberculosis that is contagious, not the bronchiectasis itself.